024
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Chris Masterson 0
Christine Fulton .~
Sue Ro~ 0
DateReceived: 09-/tL/WlV .
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Received by:
FOIL Ser. #:
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DEPARTMENT:
ASSESSOR 0
ACCOUNTmG 0
CODE ENFORCEMENT 0
PLANNmG 0
ZONING 0
FIRE mSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK ,if
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept CY _ ;/q / OJ OJ 0
Department Head approval:
(init)
Date Applicant Contacted: ~ / ) q / ~O 10
Date FOI~~ or denied: d /) C1 / dUIo
Closed by: ~""--
Date: d./ 1~/cyO(O
Notes:
Amount Due:
ges for a total of $ ~
o check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC Dp:SCRIPTION OF RECO~ ~ ~ J11~
dLL3J4~ lY ~ . &1--U71 ~ ~
FO~T OF RECORD (if available)
~ I request to be notified when I can come to inspect the record(s) described above
o I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
o I request that the records be sent via e-mail to the address listed above
o I request that the records be faxed to the number listed above